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Transmyocardial Revascularization (TMR) Surgery in Germany

Hospitals in Germany performing Transmyocardial Revascularization (TMR) surgery .

University Medical Center Hamburg-Eppendorf

Established in 1884, the University Medical Center Hamburg-Eppendorf underwent full modernization in 2009 and emerged as the most innovative European hospital. Its dedicated International Office supports roundabout 1,000 foreign patients a year.

Listed cardiac surgeon:

Prof. Hermann Reichenspurner, MD

Head of Cardiothoracic Surgery & Univeristy Heart Center Hamburg


Procedure Prices

Transmyocardial Revascularization

upon request

Heidelberg University Hospital

Heidelberg University Hospital is one of Europe`s leading medical centers. World-renowned experts provide comprehensive care of the highest international standards in all medical specialties.

4 listed cardiac surgeons:

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Dr. Christian Sebening, MD

Head of the Division of Pediatric Cardiac Surgery at the Department of Cardiac Surgery

Prof. Hugo A.Katus, MD

Medical Director of the Department of Cardiology, Angiology and Pneumology


Procedure Prices

Transmyocardial Revascularization

upon request

Cardiac centers in Germany (Page 1 of 1)

About Transmyocardial Revascularization

This information is intended for general information only and should not be considered as medical advice on the part of Any decision on medical treatments, after-care or recovery should be done solely upon proper consultation and advice of a qualified physician.

What is TMR (Transmyocardial Revascularization)?
Transmyocardial Revascularization (TMR) is a surgical procedure performed in the treatment of stable angina that cannot be treated with medication. TMR is used as a treatment only if conventional treatments like angioplasty or bypass surgery cannot be performed. Laser is used during the procedure to make channels in the left ventricle of the heart.

How is TMR Performed?

  • An antibacterial solution is applied on the left side of the chest.
  • A sedative is given through an intravenous line.
  • Electrocardiogram is performed to monitor the heart rate and blood pressure.
  • Once the anesthesia is administered, an incision is made on the left side of the chest.
  • Channels of about one millimeter in size are made in the left ventricle with the help of a special laser.
  • Bleeding of the channels is stopped by pressing on them gently.

How to Prepare for TMR?
  • The patient’s medical condition is reviewed by the doctor.
  • Cardiac catheterization is performed to view the coronary arteries and any blockages.
  • Echocardiogram is performed.
  • Positron Emission Tomography (PET) is performed to evaluate the function of the heart.
  • Other tests like Dobutamine Echocardiography and Cardiac MRI are also performed.

Duration of procedure/surgery : 1 to 2 hours

Days admitted : 4 to 7 days

Anesthesia : General Anesthesia

Recovery : - A complete recovery may take about three months. - Some patient may experience immediate relief after TMR. - The patient may still be required to take medications after TMR to improve blood flow.

Risks : - Chest pain - Heat valve damage - Heart failure - Heart rhythm problems - Blood vessel damage - Heart attack - Low blood pressure

After care : - The patient should refrain from strenuous activities. - Specific activity guidelines are given to the patient. - The patient may need to undergo a cardiac rehabilitation program to help in recovery. - The patient needs to meet the cardiologist frequently for follow up visits to monitor the progress after the TMR.

Learn more about Transmyocardial Revascularization

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